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Internet Allows Immediate Access to Personal Radiology Test Results

By MedImaging International staff writers
Posted on 09 Apr 2012

A patient experiencing severe back pain and weakness in his leg undergoes a spinal magnetic resonance imaging (MRI) scan to help determine the cause. The radiology report diagnoses cancer. Would one rather read the detailed medical report immediately at home or wait until the doctor was available to clarify the test results, diagnosis, and treatment options? This scenario was part of a study designed to determine if patients wanted online access to radiology test results, and if this is the case, how quickly.

The pilot study was conducted by investigators from Wake Forest Baptist Medical Center (Winston-Salem, NC, USA), who published their findings in the April 2, 2012, issue of the Journal of the American College of Radiology. The findings revealed that about half the participants preferred immediate access and about one-third preferred access within three days, even in the face of very serious findings written in complicated medical language and the knowledge that their doctor might not be available to discuss the results with them right away.

“Our study showed that even though the participants didn’t completely understand the medical terminology, they wanted to be able to read the detailed report as soon as possible,” said Annette Johnson, MD, associate professor of radiology at Wake Forest Baptist and principal investigator of the study. “One of the primary tenets in the drive to improve the quality of medical care is that services need to be delivered in ways that directly meet patients’ needs and preferences,” she said. “While current medical practice requires that radiologic test results go to the patient indirectly, usually verbally via the referring physician, this practice can potentially create delays, increase patient anxiety, and compromise communications between patients and doctors.”

An emerging trend in healthcare is creating secure online systems that allow patients to access electronic health records. Multiple studies suggest that patients increasingly want to obtain data directly and be involved in making medical decisions. Moreover, research demonstrates that this type of increased patient engagement has been associated with improved health outcomes and patient well-being.

In the Wake Forest Baptist study, 53 adult outpatients from the hospital’s imaging center completed researcher-administered electronic questionnaires. Study participants were presented with three simulated clinical situations and asked to answer questions based on what they thought they would do in each case.

The three scenarios were: a patient suffering from headaches whose head CT showed a normal-appearing brain but some sinusitis; a patient experiencing double vision whose brain MRI showed multiple brain lesions from an unknown cause, possibly multiple sclerosis or vasculitis; and the patient with back pain and right leg weakness whose MRI showed cancer compressing spinal nerves. In addition, the participants were asked about their preferred timing for online access to reports, communication methods, educational resources, and alternative formats.

Eighty-one percent of the participants said they likely would use an online portal to access radiologic test results if such a system were available. Forty-three percent said they preferred the online portal over any other method of notification, including a phone call from a nurse or a physician, a mailed letter explaining the results, an email explaining the results or a return visit with their physician.

For each of the three scenarios, immediate access was the most preferred option, and more than 80% of the participants wanted online access within three days. Preferences for timing did not vary significantly across the three scenarios or by participant's age or gender, according to the study findings.

Although the participants strongly preferred the online approach, physicians do have concerns about patients being able to understand test results, which could lead to increased anxiety, according to Dr. Johnson. “Doctors have been trained to be protective of their patients and don’t want to hurt them in any way,” he said. “However, many patients want their detailed medical information and as doctors we can’t be overly fearful of what will happen if we provide it for them.”

Very few hospitals in the United States currently offer their patients online access to radiology reports and the “wait” time is typically a week or more, according to Dr. Johnson. Wake Forest Baptist is in the process of developing a secure patient-access Web portal that will have a three-day turnaround time when it is initiated in the fall of 2012.

Related Links:
Wake Forest Baptist Medical Center

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61 (!!!!! 7679.9392700195): select cover from jos_number where journalid in (5) and cover is not null order by left(issue,2)+right(issue,2)*12 desc limit 1

62 (692.12913513184): SELECT fid FROM jos_deeppockets WHERE id=294740105 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294740105 AND published='1' LIMIT 1

63 (!!!!! 3082.9906463623): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=216 ORDER BY `ordering`

64 (!!!!! 3351.9268035889): select jos_twitters.link from jos_twitters where cat=10

65 (55.074691772461): select jos_facebook.link from jos_facebook where cat=10

66 (46.014785766602): select jos_google_plus.link from jos_google_plus where cat=10

67 (42.200088500977): select jos_linkedin.link from jos_linkedin where cat=10

68 (77.009201049805): SELECT fid FROM jos_deeppockets WHERE id=294740105 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294740105 AND published='1' LIMIT 1

69 (64.849853515625): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=216 ORDER BY `ordering`

70 (481.84394836426): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294740105 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (365.9725189209): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294740105 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (64.13459777832): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

73 (106.0962677002): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (48.87580871582): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (61.988830566406): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (73.909759521484): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294740105 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (41.007995605469): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294740105 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (43.869018554688): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

90 (!!!!! 7519.9604034424): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (!!!!! 3939.8670196533): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (!!!!! 6027.9369354248): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (!!!!! 5817.174911499): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (!!!!! 7905.9600830078): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (!!!!! 7924.0798950195): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (945.09124755859): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (751.97219848633): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (47.922134399414): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (400.06637573242): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (295.16220092773): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (564.0983581543): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740105 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740105 AND published='1' LIMIT 1

105 (700.95062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740105 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740105 AND published='1' LIMIT 1

106 (!!!!! 1009.9411010742): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294740105 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (84.877014160156): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294740105 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (!!!!! 11418.104171753): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740105 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740105 AND published='1' LIMIT 1

109 (!!!!! 8639.0972137451): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740105 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740105 AND published='1' LIMIT 1

110 (273.9429473877): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294740105 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (!!!!! 3942.9664611816): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294740105 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (!!!!! 7539.0338897705): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

113 (!!!!! 7955.0743103027): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

114 (!!!!! 9269.9527740479): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740105 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740105 AND published='1' LIMIT 1

115 (!!!!! 3378.8681030273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740105 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740105 AND published='1' LIMIT 1

116 (!!!!! 7659.1968536377): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740105 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740105 AND published='1' LIMIT 1

117 (!!!!! 8002.9964447021): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740105 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740105 AND published='1' LIMIT 1

118 (!!!!! 7648.9448547363): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740105 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740105 AND published='1' LIMIT 1

119 (!!!!! 8025.1693725586): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740105 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740105 AND published='1' LIMIT 1

120 (!!!!! 8224.0104675293): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

121 (!!!!! 171412.9447937): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

122 (!!!!! 7896.900177002): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740105 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740105 AND published='1' LIMIT 1

123 (!!!!! 1959.0854644775): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740105 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740105 AND published='1' LIMIT 1

124 (!!!!! 12408.018112183): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294740105 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294740105 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 1701338.0527496): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

126 (207.90100097656): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

127 (!!!!! 1309.1564178467): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

128 (62.942504882812): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

129 (520.94459533691): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

130 (179.05235290527): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

131 (614.88151550293): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

132 (136.13700866699): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

133 (495.91064453125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740105 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

134 (538.82598876953): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740105 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (274.1813659668): SELECT name FROM jos_deeppockets WHERE id=216

136 (46.014785766602): SELECT name FROM jos_deeppockets WHERE id=216

137 (640.1538848877): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))216((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

138 (545.02487182617): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))216((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

139 (92.983245849609): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740105 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740105 AND published='1' LIMIT 1

140 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740105 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740105 AND published='1' LIMIT 1

141 (!!!!! 10999.917984009): TRUNCATE TABLE jos_trademed_module

142 (!!!!! 3015.0413513184): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294740105 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

143 (698.80485534668): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294740105 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (594.13909912109): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740105 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

145 (!!!!! 4220.9625244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740105 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (893.11599731445): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740105 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740105 AND published='1' LIMIT 1

147 (971.07887268066): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740105 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740105 AND published='1' LIMIT 1

148 (!!!!! 1742.1245574951): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

149 (109.91096496582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740105 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740105 AND published='1' LIMIT 1

150 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740105 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740105 AND published='1' LIMIT 1

151 (54.836273193359): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294740105 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294740105 AND type='deeppockets_item' AND published='1' LIMIT 1

152 (41.007995605469): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=216 or channel_id is null)

153 (36.954879760742): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=216 or channel_id is null)

154 (44.107437133789): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

155 (92.029571533203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740105 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740105 AND published='1' LIMIT 1

156 (59.127807617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740105 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740105 AND published='1' LIMIT 1

157 (321.86508178711): select jos_twitters.link from jos_twitters where cat=10

158 (880.00297546387): select jos_facebook.link from jos_facebook where cat=10

159 (51.975250244141): select jos_google_plus.link from jos_google_plus where cat=10

160 (39.100646972656): select jos_linkedin.link from jos_linkedin where cat=10

161 (371.93298339844): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

162 (!!!!! 1856.0886383057): insert into jos_banners_delta values (14615,'2025-06-19 06:57:38','216.73.216.120','view'),(14202,'2025-06-19 06:57:38','216.73.216.120','view'),(14203,'2025-06-19 06:57:38','216.73.216.120','view')

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